MEDICARE: ALANA LAWSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1710398581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANA LAWSON

Provider Business Mailing Address
First Line	:	1413 E OKLAHOMA AVE
Second Line	:
City	:	GUTHRIE
State	:	OK
Zip	:	73044-3758
Country	:	US
Telephone Number	:	405-824-0262
Fax Number	:

Provider Business Practice Location Address
First Line	:	1413 E OKLAHOMA AVE
Second Line	:
City	:	GUTHRIE
State	:	OK
Zip	:	73044-3758
Country	:	US
Telephone Number	:	405-824-0262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2014
Last Update Date	:	05/15/2014

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Directions to “ ALANA LAWSON ” Practice Location

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